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A patient with established cardiovascular disease may need multiple layers of care, including: Blood pressure management Cholesterol or ApoB management when appropriate Diabetes or prediabetes care Smoking cessation support Sleep apnea screening and treatment Nutrition and physical activity planning Medication review Cardiology follow-up Weight management Stress and sleep support GLP-1 therapy may be one tool in a larger plan

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While bariatric surgery remains the most effective method for significant and sustained weight loss, its application is often limited by factors such as the availability of skilled surgeons, high costs, and the potential for postoperative complications 9

We offer 2 GLP-1 injections: semaglutide and tirzepatide

Test first thing in the morning and optionally before dinner to understand your daily ketone pattern